The Cost of Visit-based Home Care for up to Two Weeks in the Last Three Months of Life: A Pilot Study of Community Care Based at a Hospice-athome Service in South East of England

Stephen Spiro, Alison Ward (Lead / Corresponding author), Judith Sixsmith, Anne Graham, Sue Varvel

Research output: Contribution to journalArticlepeer-review

Abstract

The cost of visit-based community care based around a 24/7 hospice-at-home (HatH) service in the last 3 months of life was assessed. Thirty families completed a health and social carediary of at-home visits over twoweeks following contact with the HatH night service. Diaries captured 333 days of care provision, averaging 11 diary days per family, 708 health care professional and carer visits, lasting 604 hours at a cost of £20,192 ($24,946). Hat H care, integrated with community support, seems an economic proposition but highlights the complexities of assessing cost of end of life care.
Original languageEnglish
Pages (from-to)203-213
Number of pages11
JournalJournal of Community Health Nursing
Volume37
Issue number4
Early online date5 Nov 2020
DOIs
Publication statusPublished - 2020

Keywords

  • Hospice-at-home
  • costs
  • Community
  • End-of-life

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